Transcript Highlights:

• been a while since we visited this, the state has provided approximately $573 million General Fund to clean
• The proposal also defunds a commitment made to the Legislature to fund the clean energy part of extending
• Also on behalf of the Clean Water Action Organization, Save California Salmon, California Water Impact
• mobility options, clean mobility in schools, and sustainable transportation equity projects.
• mobility options, clean mobility in schools, and sustainable transportation equity project.

Summary: The Assembly Budget Subcommittee hearing focused on the governor’s May Revision, especially the proposed extension of the cap-and-trade program to 2045 as “cap-and-invest,” the related greenhouse gas reduction fund (GGRF) spending framework, and several trailer bill proposals. Department of Finance staff outlined budget solutions including a $1.5 billion annual General Fund-to-GGRF shift for Cal Fire that would grow to $1.9 billion by 2029-30, continued support for high-speed rail, climate bond implementation, and various environmental and water-related statutory changes. The administration also described proposals affecting the Delta Conveyance Project, water quality planning, groundwater bulletin timing, Exide cleanup funding, and other agency-specific items, though the chair repeatedly asked staff to keep the presentation high-level and save details for the next hearing. Members from both parties raised strong concerns about the cap-and-invest proposal, arguing that it could reduce or displace funding for transit, affordable housing, active transportation, wildfire prevention, zero-emission vehicles, and other previously committed programs. Several members questioned whether the administration was effectively shifting essential ongoing services like Cal Fire onto a temporary carbon market fund, how the General Fund backstop would work if auction revenues fall short, and whether the proposal would leave enough money for continuous appropriations and future awards. Members also criticized the inclusion of cap-and-invest reauthorization in the budget process and asked for clearer information on the impact to high-speed rail, transit, and other GGRF priorities. The Delta Conveyance Project and related trailer bill language drew significant opposition from members and public commenters, who argued the proposal would fast-track the project, weaken CEQA-related review, and authorize revenue bond financing without sufficient legislative oversight. Public testimony also included support for maintaining or expanding funding for transit, affordable housing, AB 617 community air protection, offshore wind infrastructure, and ignition interlock programs, while environmental and community groups opposed cuts to wildfire prevention, housing, and school climate-related programs. No votes were taken; the hearing was informational, and the chair said the committee would continue the discussion and receive more detailed responses at the follow-up hearing on Tuesday.

Transcript Highlights:

• I support any and all solutions to get Hastings clean water, and the cost absolutely should not be borne
• I support any and all solutions to get Hastings clean water, and the cost absolutely should not be borne
• I support any and all solutions to get Hastings clean water, and the cost absolutely should not be borne
• I support any and all solutions to get Hastings clean water, and the cost absolutely should not be borne
• </c> to want to be able to deliver clean to want to be able to deliver clean water<00:09:17.800><c> to

Keywords: 1187, senate, all

Transcript Highlights:

• Claims to this fund have increased in recent years.
• claim of $16,000 that was delayed into fiscal year 2026 due to a lack of appropriation.
• The trend of an increasing number of claims is expected to continue as program awareness continues to
• Handling of a claim.
• And so it was initially geared toward insurance professionals, those who are actually handling the claim

Summary: The committee heard budget reviews for the Industrial Commission, the Public Utilities Commission, and the Secretary of State. For the Industrial Commission, analysts and agency staff described the agency’s dedicated funds and FY27 requests, including ongoing support for the IRIS technology system, additional funding for the annual seminar and CWICS training, an increase for the Peace Officer and Detention Officer Temporary Disability Fund due to rising claims, and replacement IT hardware. Members asked about the IRIS maintenance contract, the seminar pricing and audit finding on the miscellaneous revenue fund, and the crime victims compensation program and its general fund support. Agency staff said the IRIS support is still being provided by an outside vendor because OITS is not yet able to assume the work, that seminar and training spending will increase rather than fees being reduced, and that the disability fund increase is ongoing. The committee also discussed concerns that reductions in the crime victims compensation general fund appropriation could affect services, though staff said dedicated and federal funds could help cover shortfalls if needed. The Public Utilities Commission presentation focused on its single utilities regulation program, dedicated funding sources, and FY26 and FY27 budget items. Analysts reviewed the new workload created by the wildfire standard of care law enacted in 2025, which added staff and one-time funding in FY26, and noted a FY27 request for IT hardware. Questions centered on why indirect cost recovery spending was far below the amount budgeted; the administrator said the variance was largely due to timing and the fact that rent was not paid from that fund at the time. A senator praised the commission’s work implementing the wildfire legislation. The Secretary of State budget review covered elections, business services, the Commission on Uniform State Laws, and the Idaho Code Commission. Analysts noted the office’s general fund budget, the large FY24 election system upgrade, and FY27 requests for $350,000 ongoing for a voter pamphlet and guide, a $20,000 ongoing transfer for post-election audit overtime, and replacement technology items; a reappropriation item for a double-filled business director position was later withdrawn. Secretary of State Phil McGrane said the office is handling sharply increased business filings, generating more revenue than its budget and returning excess revenue to the state, but also facing longer processing times. He defended the ongoing voter pamphlet request as tied to recurring election requirements and said the overtime request reflects election-cycle workload. He also said the office is using outside vendor support for election IT, is considering AI tools cautiously, and would not be materially affected if ballot counting methods changed, since counties handle tabulation. The committee ended with procedural remarks about upcoming budget-setting work, a FY26 rescission bill still being processed, and a reminder that alternate motions must be submitted by 5 p.m.

Transcript Highlights:

• Orlando Health sued Liberty Health Share for unpaid claims for over a million dollars a couple years
• I don't deal with the claims every day.
• The behavior does not distinguish between catastrophic and non-catastrophic claims.
• As far as the estimate just being the work product, there's other claim journals, conversation, diary
• I myself have been a victim of an insurance claim. I've been through the process myself. I know it.

Committee: Senate Banking and Insurance

Keywords: 999, senate, all

Transcript Highlights:

• I mean, claims per year is about $4 billion a year in claims that we pay out, yes.
• A year, the claims costs that we're covering.
• I'm just talking about claims cost is roughly $8 billion per year.
• The agency is requesting an additional nine claims benefit advisors to support VA claims submissions,
• with each of their claims benefit cases.

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• We're going to clean up our air.
• To incentivize a transition to non-polluting vehicles and to clean up our air, I urge adoption of the
• We are trying to chart our path on a clean energy future.
• We are trying to chart our path on a clean energy future, a clean transportation future, and part of
• We have the Clean Energy Transformation Act.

Summary: The Senate opened with a moment of silence for Senator Chris Gildon and his family after the death of his wife, Autumn. It then took up several bills on final passage, beginning with Substitute House Bill 2020, which establishes a 3.1% B&O tax rate for payment card processing activities and allows a deduction for certain related fees. Supporters said it resolves a long-running dispute with the Department of Revenue; it passed 47-0. The chamber also passed House Bill 2039, delaying the child support pass-through expansion from 2026 to 2029, and House Bill 2040, delaying the elimination of recoveries from the Aged, Blind, and Disabled Assistance Program from October 2025 to October 2028. Supporters framed both as timing changes, while opponents argued they would postpone benefits for families and vulnerable people. Both bills passed 25-22. Substitute House Bill 2051, dealing with payment to acute care hospitals for difficult-to-discharge patients, passed 27-20 after several proposed amendments were withdrawn. Supporters said the bill helps hospitals care for patients who have nowhere else to go, while opponents argued the state should not delay payment support for these patients. The Senate also passed In Gross Substitute House Bill 2061, imposing a 10% concession fee on duty-free sales to fund tourism promotion and sustainable aviation fuel, over objections that it was a tax increase passed on to consumers. Finally, Substitute House Bill 2077, which taxes certain business activities related to zero-emission vehicle credits, passed 28-19 after an amendment to remove or narrow parts of the tax was rejected. Supporters said the measure would encourage spending of credits and support clean transportation goals, while opponents called it a targeted tax on Tesla and warned it could raise EV prices. The Senate then concurred in amended Engrossed Substitute House Bill 1293, a litter and plastic bag measure that increases litter penalties and keeps the planned bag-thickness increase from taking effect, and passed it 27-20. The Senate adjourned until April 27, 2025.

Transcript Highlights:

• But in this case, like we are hearing claims that they are safe and effective, but then you actually
• </c><03:45:21.319><c> that</c><03:45:21.880><c> something</c> like people would claim that something
• like people would claim that something is<03:45:22.479><c> happening</c><03:45:22.960><c> but</c><03:
• c><03:45:31.199><c> we</c><03:45:31.359><c> are</c><03:45:31.479><c> hearing</c><03:45:31.800><c> claims
• </c><03:45:32.199><c> that</c> case like we are hearing claims that case like we are hearing claims that

Committee: House Health, Human Services & Elderly Affairs

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• It's related to the Petroleum Clean Water Trust Fund Act, and it literally just cleans up and clarifies
• It cleans up registration and deferral language.
• It cleans up registration and deferral language. It cleans up registration and deferral language.

Summary: The House Environment, Energy, and Technology Committee met with a quorum and considered three bills. House Bill 593, which had already been heard, was moved by Representative Redmond and approved for a due pass recommendation to the floor without discussion. House Bill 714, sponsored by Representative Vander Woude, would repeal Chapter 58 and reorganize hazardous waste siting provisions into Chapter 44, Title 39, consolidating and updating language from an older, unused framework. He said the bill was developed with DEQ and stakeholders to remove duplicative provisions and reflect current practice. Roy Gehrin, representing Republic Services, testified in support and said the company worked closely with DEQ and other stakeholders on the legislation. The committee then voted to send HB 714 to the floor with a due pass recommendation. Senate Bill 1265, presented by Representative Scott, was described as a code cleanup bill related to the Petroleum Clean Water Trust Fund Act. She said it removes expired historical distribution language, obsolete cross-references, and other outdated provisions without changing funding percentages or eligibility standards. Representative Thompson moved the bill to the floor with a due pass recommendation, and the committee approved that motion. The meeting then adjourned.

Transcript Highlights:

• Or would they have the right to file discrimination claims?
• Or would they have the right to file discrimination claims?
• Or would they have the right to file discrimination claims?
• </c> classmates it's disingenuous to claim classmates it's disingenuous to claim that<02:28:38.080><c
• </c> bowing to the mass hysteria that claims bowing to the mass hysteria that claims equal<04:06:29.000

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• The federal government will institute what they call KPIs, or minimum requirements, of claims that can
• The federal government will institute what they call KPIs, or minimum requirements, of claims that can
• that are doing manual entry, and so we're trying to increase the number of electronically submitted claims
• does allow us to do corrective action plans with those providers if they are doing too many manual claims

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.

Transcript Highlights:

• The federal government will institute what they call KPIs, or minimum requirements, of claims that can
• that are doing manual entry, and so we're trying to increase the number of electronically submitted claims
• does allow us to do corrective action plans with those providers if they're doing too many manual claims
• does allow us to do corrective action plans with those providers if they are doing too many manual claims

Keywords: 1204, all

Transcript Highlights:

• The Claims Review Litigation Reports Oversight Subcommittee met on Tuesday, April 14th.
• The Claims Review Litigation Reports Oversight Subcommittee met on Tuesday, April 14th, reviewed two
• litigation settlements from the Department of Corrections, and affirmed the ruling of the Claims Commission
• as to one denied and dismissed claim, as noted in the report.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first took up several subcommittee reports. The Claims Review Litigation Reports Oversight Subcommittee report was adopted after noting two Department of Corrections settlement reviews and one affirmed denial/dismissal by the Claims Commission. The JBC Personnel Subcommittee report was also adopted, covering governor’s letters and amendments, with items related to the Auditor of State and Lieutenant Governor sent back for further review and one Lieutenant Governor amendment not passing. Next, the peer review subcommittee report was adopted after discussion of various temporary appropriations, ARPA and infrastructure-related appropriations, reserve fund transfers, and a resource reallocation. Two DHS-related items were held, including a discretionary grants item and a contract with DHS and EMS/LINQ; one hold was later released after additional information was provided. A member asked about returned ARPA funds, and staff explained the money was being returned to the federal government because it was not fully expended within the federal time frame. The committee then discussed several bills and amendments with special language, including Senate Bills 63, 67, and 73 and House Bills 1089, 1090, and 1093, along with amendments to the Department of Health, the Office of the Treasurer, and the State Board of Election Commission. Leadership warned that holds on bills should be resolved by the following Thursday or be released, and members were encouraged to work with agencies and notify leadership if agencies were not responsive. The meeting then adjourned.

Transcript Highlights:

• The Claims Review Litigation Reports Oversight Subcommittee met on Tuesday, April 14th.
• The Claims Review Litigation Reports Oversight Subcommittee met on Tuesday, April 14th, reviewed two
• litigation settlements from the Department of Corrections, and affirmed the ruling of the Claims Commission
• as to one denied and dismissed claim, as noted in the report.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard several subcommittee reports and adopted them. The Claims Review Litigation Reports Oversight Subcommittee reported on two Department of Corrections litigation settlements and one denied and dismissed claim, and its report was adopted. The JBC Personnel Subcommittee reported on Governor’s letters and amendments; all items were released back to the Joint Budget Committee as adopted except item 3, the Lieutenant Governor’s Office amendment, and items 3 and 4 were sent back for further review. The peer review subcommittee reported approval of several temporary appropriations, ARPA and IIJA appropriations, reserve fund transfers, and a resource reallocation. Two items were held: DHS K-2 discretionary grants and an L-4 DHS/EMS contract; after additional information was provided, the hold on the contract was released and the report was adopted. A member asked about returned ARPA funds, and staff explained the money was being returned to the federal government because it was not fully expended within the federal time frame. The committee also referred several measures to special language, including Senate Bills 63, 67, and 73 and House Bills 1089, 1090, and 1093. Special-language amendments were noted for the Department of Health, the Office of the Treasurer, and the State Board of Election Commission. The chair urged members to resolve any remaining holds by the following Thursday or they would be released, and the meeting adjourned.

Transcript Highlights:

• From the Clean Water Fund, about $31.7 million; from the Parks and Trails Fund, $133 million; and the
• Air Act, the Clean Water Act, and the Resource Conservation and Recovery Act, or RCRA.
• </c> in Minnesota and that includes the Clean in Minnesota and that includes the Clean Air<01:24:25.120
• </c><01:29:52.880><c> up</c> it uh this work is not only to clean up it uh this work is not only to clean
• in 1972, there was not a way to address that historical pollution within the Clean Water Act.

Committee: Senate Environment, Climate, and Legacy

Keywords: 1187, senate, all

Transcript Highlights:

• We have inpatient and outpatient claims, which account for $688 million.
• Just one thing when I was looking over the per diem claims and fees, Exhibit B1 that you provided, that
• take it back to our data team to see how they pulled this and whether they can tie it back to the claims
• And that will only be applicable to inpatient and outpatient claims. Right. Yes, sir.
• I just wanted to be clear because the cost settlements and the UPL are not tied to an individual claim

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• This excludes most young adults and seniors from claiming the credit.
• So the question on the next slide is sort of how to find how many people are eligible but not claiming
• And I... ...people are eligible but not claiming, and how can we close that take-up gap?
• We link together the encrypted versions and are able to then determine who's eligible but not claiming
• So we were able to sort of identify the populations who were eligible for credits and not claiming those

Bills: HB1717 , HB1859

Committee: House Finance

Keywords: affordable housing, sales tax, housing programs, tax incentives, economic development, religious organizations, development, housing opportunities, land use, 904, all

Transcript Highlights:

• these amendments to the Health and Safety Code do not apply to COVID-19 entities that solely conduct claims
• and claim processing on behalf of another.
• I hope that the $10 million in the budget gets done to get to the All Claims item.
• and builds bridges to nowhere, only to know that if they would just have linked that to this All Claims
• So the question is, you talk about the All Claims Database, and I'm very, very familiar with it.

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• of substances such as glutathione or methylobalamine, as many advocates of these substances have claimed
• of substances such as glutathione or methylobalamine, as many advocates of these substances have claimed
• When they do claim heavy emphasis on curing certain pain, things like that, do you look into it or just
• So isn't this your board's responsibility to look into those claims?
• That's not the purview of your authority, and you do not investigate any such claims.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• </c><00:31:24.640><c> I</c> have to investigate these claims. I have to investigate these claims.
• </c><00:31:28.760><c> in</c><00:31:29.080><c> 2023</c> So claims that were submitted in 2023 So claims
• </c><00:59:41.800><c> for</c> health insurers to pay claims for health insurers to pay claims for services
• I I would just add that with the claim.
• on a more timely fashion to claims on a more timely fashion to providers<01:00:13.840><c> for</c><01

Keywords: 916, all

Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.

Transcript Highlights:

• ><c> a</c><00:06:26.720><c> few</c><00:06:26.880><c> other</c> claims processing and a few other claims
• That is to say, they claimed it was proprietary.
• We want to always claimed but never did.
• </c> organization to deal all the claims organization to deal all the claims payments,<00:35:48.880><
• </c> MCOs, which already deals with claims MCOs, which already deals with claims payment,<00:36:16.320

Committee: Senate Health and Human Services

Keywords: 1187, senate, all